| Objective:To observe the clinical efficacy of the external fumigation method of gu ke xi yao compared with the topical application of the moxibustion ointment for the treatment of windcold-damp stagnation syndrome type of knee osteoarthritis synovitis.To explore safer and more efficient treatment and prevention methods for wind-cold-damp stagnation syndrome type of knee osteoarthritis synovitis to facilitate future promotion and application in clinical work and to provide more options for clinicians.Methods:Patients with wind-cold-damp stagnation syndrome type of knee osteoarthritis synovitis from the orthopedic outpatient clinic of Beijing Hospital of Traditional Chinese Medicine affiliated to Capital Medical University were used as the study subjects.Seventy-two patients with knee osteoarthritis synovitis who met the inclusion criteria between January 2022 and December 2022 were randomly divided into an observation group and a control group,with 36 cases in each group.The observation group was treated with gu ke xi yao fumigation:each treatment was 40 min,and the affected area was ironed with the residual warmth of the medicine package once a day for 5 days with a 2-day rest,for a total of 4 weeks;the control group was treated with external application of substitute the moxibustion ointment:according to the size of the painful area of the affected area,1 to 2 patches were applied each time,and the duration of each application was controlled within 2 hours to avoid causing local skin allergy,and each treatment lasted for 5 days with a 2-day rest,for a total of Each treatment lasted for 5 days,with a 2-day break,for a total of 4 weeks,and both groups were treated with lifestyle intervention.The NRS scores,WOMAC scores,floating patellar test grading,and changes in knee circumference were compared between the two groups before and after treatment,respectively.Results:1.The treatment process of the observation group and the control group were dislodged 3 and 3 cases separately,a total of 66 cases completed,of which 33 cases in the observation group and 33 cases in the control group.2.For the baseline data gender and age for statistical comparison,the results suggest that the comparison of gender and age between groups are not statistically significant(P>0.05),and are comparable.3.The comparison of NRS score,WOMAC score,knee circumference,and floating patella test grade Ⅰ percentage between the two groups before treatment was not statistically significant(P>0.05),and was comparable.4.Compared with the pre-treatment period,the NRS score and WOMAC score of both groups decreased after treatment(P<0.01),and the observation group was better than the control group,and the difference was statistically significant(P<0.05);the circumference of the knee joint of both groups decreased after treatment(P<0.01),and the difference between groups was not statistically significant(P>0.05);The difference in NRS score △,WOMAC score △,and knee circumference △ between the two groups after treatment was better than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the occupancy rate of floating patella test grade I in both groups increased compared with 12.12%before treatment,and the observation group increased to 69.70%,higher than 57.58%in the control group,the difference was not statistically significant(P>0.05).5.Safety evaluation:the test design is safe and reliable,no adverse events occurred in the subjects of the observation group,and 6 subjects in the control group experimented with symptomatic treatment,the adverse events disappeared and completed the whole test.Conclusion:1.Both gu ke xi yao fumigation and topical treatment with the moxibustion ointment can effectively relieve the painful symptoms of wind-cold-damp stagnation syndrome type of knee osteoarthritis synovitis and improve the function of knee joints,in which gu ke xi yao fumigation is better than topical treatment with the moxibustion ointment.2.Gu ke xi yao fumigation and topical treatment with the moxibustion ointment can effectively improve the swelling of the knee joint in wind-cold-damp stagnation syndrome type of knee osteoarthritis synovitis,and in this regard,gu ke xi yao fumigation is better than topical treatment with the moxibustion ointment.3.No adverse reactions were found in gu ke xi yao fumigation,which has good safety and high patient satisfaction,reflecting the characteristics of Chinese medicine external treatment such as convenient,safe and effective. |
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